DR. JONATHAN ALAN BANKER D.M.D.
NPI 1124173745
Dentist - General Practice in Elizabeth, NJ

Active since January 24, 2007Opted out of Medicare · through Jan 19, 2028
105 ELMORA AVE, ELIZABETH, NJ 07202(908) 354-1490(908) 354-6996 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Alan Banker D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN ALAN BANKER D.M.D. (NPI 1124173745) is an individual general practice provider in Elizabeth, New Jersey, licensed in New Jersey (DI19486) and active in the NPI registry since January 2007. He has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124173745
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN ALAN BANKERCredential: D.M.D.
Location Address105 ELMORA AVEElizabeth, NJ 07202-1614
Mailing Address105 Elmora AveElizabeth, NJ 07202-1614 · (908) 354-1490 · Fax (908) 354-6996
Fax(908) 354-6996
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124173745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · DI19486
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
105 ELMORA AVE, Elizabeth, NJ 07202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jonathan Alan Banker D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2016 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2016
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist (General Practice)
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Banker's NPI number?

The NPI number for Jonathan Banker is 1124173745. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jonathan Banker located?

Jonathan Banker practices at 105 Elmora Ave, Elizabeth, NJ 07202. The listed phone number is (908) 354-1490.

What is Jonathan Banker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Banker enrolled in Medicare?

No. Jonathan Banker has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jonathan Banker accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and UnitedHealthcare list Jonathan Banker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Banker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.